HY-VEE PHARMACY #1 (1054)
NPI 1063440550
Pharmacy - Community/Retail Pharmacy in Cedar Rapids, IA

Q: What is Hy-Vee Inc's NPI number?

The NPI number for Hy-Vee Inc is 1063440550. It was assigned to this organization in the NPPES registry on June 30, 2006. The provider is doing business as Hy-Vee Pharmacy #1 (1054).

Q: What is Hy-Vee Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Hy-Vee Inc was last updated on October 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 30, 2006CLIA 16D1011827 · Waiver

1843 JOHNSON AVE NW, CEDAR RAPIDS, IA 52405(515) 453-2784(515) 327-2162 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 4, 2023, Jan 26, 2023, Sep 28, 2022 and 5 more (8 updates tracked since 2017).

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About Hy-vee Pharmacy #1 (1054) NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HY-VEE PHARMACY #1 (1054) (NPI 1063440550) is a healthcare organization registered as a community/retail pharmacy in Cedar Rapids, Iowa and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through April 22, 2027 and lists Angie Nelson, Senior Vice President, Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1063440550

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameHY-VEE INC

Location Address1843 JOHNSON AVE NWCedar Rapids, IA 52405-4752

Mailing AddressPo Box 850442Minneapolis, MN 55485-0442 · (515) 267-2800

Phone(515) 453-2784

Fax(515) 327-2162

Organization SubpartNo

Authorized OfficialAngie NelsonSenior Vice President, Pharmacy · (515) 267-7703

Enumeration DateJune 30, 2006

Last NPPES UpdateOctober 4, 20238 updates tracked since enumeration

NPPES CertifiedOctober 4, 2023

✔ NPI 1063440550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in IA · 443

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 443 (IA)

1843 JOHNSON AVE NW, Cedar Rapids, IA 52405

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Other Names 1

Doing Business AsHy-vee Pharmacy #1 (1054)

Other Identifiers 2

Medicaid0132548IA

Other1618050IA · Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D1011827

Hy-Vee Pharmacy #1 - 1054 · Cedar Rapids, IA

Active · expires Apr 22, 2027

CLIA Number16D1011827

Laboratory TypePharmacy

Certificate Effective DateApril 23, 2025

Certificate Expiration DateApril 22, 2027

Laboratory DirectorCynthia Quaas

Laboratory Phone(319) 365-5343

Laboratory LocationHy-Vee Pharmacy #1 - 10541843 Johnson Avenue NW, Cedar Rapids, IA 52405

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

643 services636 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

612 services612 patients

Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694

The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.

18 services18 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

16 services16 patients

Medical Equipment Supplier Medicare DMEPOS 10

Medicare supplier enrollment and the product categories Hy-Vee Pharmacy #1 (1054) carries, from the Medicare DMEPOS supplier directory.

Hy-Vee Pharmacy #1 (1054)

DMEPOS supplier · Cedar Rapids, IAOperated by Hy-Vee Inc

⋮

Does not accept Medicare assignment

Hy-Vee Pharmacy #1 (1054) has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20458949

Medicare Participant SinceDecember 7, 2017

Supplier Location1843 Johnson Ave NWCedar Rapids, IA 52405

Phone(319) 365-5343

Supplier Specialties

Pharmacy Grocery Store

Medicare Product Categories

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Heat & Cold Applications

Heat therapy, Cold therapy, Heating pads

Canes and/or Crutches

Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches

Walkers

Standard Walkers, Wheeled Walkers, Folding Walker

Orthoses: Off-The-Shelf

Met pads, Heel pads, Heel spur pads

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. REBECCA SUE LUTZ RPH

Pharmacist